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Learning About CAPD

Excellent Links to Get Started With
Speech Development and Milestones Signs and Symptoms of CAPD
CAPD Parents Page Center for Central Auditory Research
CAPD Links LD Online
Just Because... Canadian Assoc. of SLP's and Audiologists
Society for Auditory Intervention Techniques Suzi Coleman's Page
Graeme Wadlow's Page Living With CAPD
CAPD: From the Heart of a Mother Tom Brennan's Web Page
Deaf-Blind Perspectives Fall 1999

Dr. Teri James Bellis' Subprofiles (primary and secondary) of CAPD
Profile Region of Dysfunction Central Auditory Test Findings Associated Sequelae Management Strategies
Auditory Decoding Deficit Primary (left) Auditory Cortex Bilateral deficit on dichotic speech tests; bilateral deficit on monaural low-redundancy speech tasks Difficulties with spelling (word attack), hearing in noise, sound blending; poor analytic skills; mimics hearing loss Improve acoustic clarity, speech sound training, auditory closure activities, speech-to-print skills training
Prosodic Deficit Nonprimary (right) Auditory Cortex and associated areas Left-ear deficit on dichotic speech tasks; deficit on temporal patterning tasks in both labeling and humming conditions Difficulties with spelling (sight word), judging communicative intent, perception and use of prosody; monotonic speech; visuospatial and mathematics calculation difficulties; socio-emotional concerns Placement with animated teacher; prosody training; key word extraction; psychological intervention
Integration Deficit Corpus Callosum Left-ear deficit on dichotic speech tasks; deficit on temporal patterning tasks in linguistic labeling condition only Difficulty linking prosody and linguistic content; poor speech-in-noise skills; phonological deficits; auditory language and memory deficits; poor bimanual coordination; difficulty with any task requiring interhemispheric integration Limit or discontinue use of multimodality cues; provision of notetaker, sensory integration therapy; interhemispheric exercises; specific academic intervention
Auditory Associative Deficit Left (associative) Cortex Bilateral deficit on dichotic speech tests Receptive language deficits, including semantics and syntax; difficulty comprehending information of increasing linguistic complexity; poor reading comprehension; porr math application Rephrase using smaller linguistic units; systematic learning approach; multisensory augmentation; speech-language therapy focusing on receptive language
Output/Organization Deficit Temporal-to-frontal and/or efferent system Deficit on any task requiring report of more than two elements; may have elevated or absent acoustic reflexes Poor hearing in noise; poor organizational skills; motor planning difficulties; difficulties with expressive language and word retrieval; poor sequencing and follow-through Highly structured environment; training in use of organization aids; speech-language therapy focusing on expressive language; may benefit from assistive listening technology

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